下肢损失的成年人中生命限制性并发症报告不足的风险因素
Samantha Jeanne Stauffer1,2, Mayank Seth1,3, Ryan Todd Pohlig1
1University of Delaware, Newark, DE, USA.
许多患有下肢损失的成年人低估了外围神经病变和外围动脉疾病. 常规的临床评估对于早期发现和管理这些常见的并发症至关重要.
科学领域:
- 血管医学 血管医学
- 神经学 神经学
- 截肢者护理 截肢者护理
背景情况:
- 周围神经病 (PN) 和周围动脉疾病 (PAD) 是患有下肢损失的个体的重要并发症.
- 目前的护理模式可能无法在这个人群中充分解决PN和PAD.
- 报告不足这些情况可能导致诊断延迟和管理不足.
研究的目的:
- 评估下肢损失的成年人中PN和PAD报告不足的程度.
- 为了确定与此队列中PN和PAD报告不足相关的风险因素.
主要方法:
- 来自门诊肢体损失诊所的横截面数据集的二次分析.
- 标准化临床检查,包括Semes-Weinstein单丝检测PN和踏脚脉冲测试PAD.
- 两变量和阶段物流回归分析,以确定报告不足的风险因素.
主要成果:
- 超过一半的PN (57.7%) 和PAD (86.8%) 临床发现的参与者没有自我报告这些情况.
- 患有血管障碍截肢的个体有较低的PN报告不足的风险 (OR=0.2).
- 增加药物处方与低报告PAD风险 (OR=0.8) 的风险较低有关.
结论:
- 患有下肢损失的成年人经常不充分报告PN和PAD,这表明潜在的诊断不足或缺乏患者意识.
- 在这个人群中,强烈建议对PN和PAD进行例行临床评估.
- 特别注意的是,对于下肢损失的非动脉动脉病因的个体,应给予特别的注意.
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